Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Facility		$14.60	$14.60	$14.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $14.60 / $19.87	Professional		$13.75	$14.60	$19.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $34.18 / $54.68	Facility		$24.80	$34.18	$54.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.67 / $39.74	Professional		$17.89	$20.67	$39.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $19.88 / $29.44	Facility		$2.47	$19.88	$29.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $18.46 / $36.38	Professional		$2.25	$18.46	$36.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $30.88	Facility		$17.30	$17.30	$30.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $38.44	Professional		$14.71	$14.71	$38.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $19.13	Facility		$17.30	$17.30	$19.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.30 / $17.30	Professional		$14.71	$17.30	$17.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.83 / $21.04 / $30.34	Professional		$16.83	$21.04	$30.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.70 / $19.23	Professional		$9.13	$13.70	$19.23